Is there any other medical information which could assist the trainer or coaches in aiding your child in the event of a parent not being readily available?

I give permission for any likeness, captured through video, photo and digital camera, to be used solely for the purpose of promoting football, and waive any right of compensation or ownership*

YesNo

NAME OF PERSON COMPLETING FORM*

RELATIONSHIP TO PLAYER*

I understand that the equipment that is being uses is the property of the OSHAWA HAWKEYES and that I am responsible for ensuring that it is returned to the organization in the same condition that I received it. I also understand that there is a $100.00 non-refundable deposit due when equipment is handed out. If I do not return the equipment (including but not limited to all the pads and helmet) my name can be turned over to a Collection Agency in order to retrieve either the equipment or the cost of replacing it.

I agree to the terms and conditions stated above*

The first $150 of the registration fee is a non-refundable administration fee.
A refund, less any incurred cost, and minus the non-refundable administration fee, will be given to a player who is forced to quit due to medical reasons. A doctor’s note is required explaining the reason, prior to first game.
Any player who leaves or quits FOR ANY REASON, after the first game, will NOT be entitled to a refund. No refunds shall be issued under any circumstances.
No refunds shall be issued until confirmation that all equipment and property has been returned. All refund requests must be reviewed and approved by the Executive of The Oshawa Hawkeyes.